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YACCINOSIS 



H0MCE0PR0PH1"LAXIS. 



VRNETT, M. D. 



1 



VACCINOSIS 



AND ITS CURE BY THUJA; 



WITH REMARKS ON 



HOMCEOPROPHYLAXIS : 



BY 



J. COMPTON BURNETT, M.D. 



Arbor vitee : nomen omen. 
Similia similibus prcevenientur. 



LONDON : 

THE HOMOEOPATHIC PUBLISHING COMPANY, 

12, Warwick Lane, E.C. 
F. E. BOERICKE, new YORK & PHILADELPHIA. 



1884. 



lSl^\ ' ^^ 




CHESTER : 

EDWARD THOMAS, PRINTER, CAXTON BUILDINGS, 

PEPPER STREET. 



®0 



THAT EMINENT 



CHRISTIAN CITIZEN AND ARDENT CHAMPION 



OF LIBERTY, 



MAYOR OF DOVER, 



THE 



FOLLOWING PAGES ARE ADMIRINGLY DEDICATED 



BY 



®be Author. 



PREFACE. 



Truth is not Truth save only to the 
Infinite ; to the mind of mortal man 
Truth is not necessarily Truth, but only 
that which appears to be true. Hence it 
is that what is a glorious truth to one 
man is inglorious nonsense to another, 
and both individuals may be equally 
honest of purpose and of like earnestness 
in their search after Truth. 

Minds have their affinities no less than 
matter, and no one ought, after reflection, 
to be disappointed to find his own most 
cherished pursuits contemned and ridi- 
culed by men of other minds. 

The contents of this little volume 
appear to the writer to constitute an 
important elucidation of certain, otherwise 
obscure, clinical phenomena ; for him 
vaccinosis is a sub- division of the sycosis 
of Hahneniann ; and its recognition of 
considerable utility in the consulting-room 



vi Preface. 

and at the bedside. The idea of using 
Thuja Occidentalis as here recommended 
is not new, nor is it peculiar to the writer, 
though it is but very little known in this 
country, and still less acted upon, and 
hence it is hoped that the publication of 
these pages may help to establish vac- 
cinosis as a form of disease, and Thuja as 
one of its chief remedies. 

There is an admirable Prize Essay on 
Thuja, by a learned German physician of 
eminence. Dr. H. Goullon, of Weimar, 
entitled ** Thuja Occidentalis. Abendlan- 
discher Lebensbaum. Eine monograph- 
isch-therapeutische Abhandlung nebst 
Kritischer Beleuchtung der sogenannten 
Lues gonorrhoica (blenorrhoischen Sy- 
philis) oder Sykosis Hahnemann's von 
Dr. Med. H. Goullon." This important 
essay obtained the prize of the Homoeopa- 
tische Centralverein of Germany, and was 
published at Leipsic in 1877, by Baum- 
gartner. It is a complete monograph on 
the subject of which it treats, and is 
eminently instructive and suggestive. 



Preface, vii 

In Dr. GouUon's Essay, p. 64, we read 
" Dr. Kunkel erinnert bei dieser Gelegen- 
heit an die Aehnlichkeit des Krankheits- 
bildes, wie es die von uns so genannte 
Vaccinose, d. i. der Complex von Krank- 
haften Symptomen nach dem Impfen 
bietet und wie es der eben beschriebene 
sycotische Tripper darstellt. Auch sei 
bei beiden das Incubationsstadium ver- 
haltnissmassig kurz." And, again, p. 
120, ** Folgen des Impfens und Revac- 
cinirens." 

To those to whom the evidence ad- 
duced may be insufficient as proof of the 
existence of vaccinosis, to those, it is 
submitted, the facts may nevertheless 
possess some interest merely as a Contri- 
bution to the Clinical History of Thuja 
Occidentalis, 

And, moreover, if the Thuja cured the 
recorded cases it must be manifest that 
the efficacy of very minute doses is a 
factor yet to be reckoned with by practical 
medicine, both curative and preventive. 

Of the critics it is merely asked that 



viii Preface. 

they go to their task — sine it a et studio : 
truth is the aim of the writer. 

As to the word vaccinosis it is only 
needful to say that, though a hybrid word- 
form, it is coined on the model of such 
designations as scrofulosis and tuber- 
culosis, whose sole apology is practical 
usefulness and the difficulty of putting 
pure word-forms in their stead. 

In regard to the second part of this 
little treatise on Homoeoprophylaxis the 
writer believes it will prove suggestive 
and instructive, and he is not without 
some hope that it may lead to a clearer 
appreciation of how the law of similars 
might with advantage be extended sys- 
tematically to the prevention of specific 
diseases. How far this may be possible 
experience must shew. 

J. COMPTON BURNETT. 

5, HoLLEs Street, 

Cavendish Square, W., 

March, 1884. 



On Vaccinosis and its Cure by Thuja 
Occidentalism with remarks on 
Homceoprophylaxis . 



CEAR not, critical reader, this is 
not an anti-vaccination treatise, 
for the writer is himself in the 
habit of vaccinating his patients, 
au besoin^ and he believes that 
vaccination does protect, to a cer- 
tain large extent, from small-pox, 
though the protection must neces- 
sarily cease as soon as the vac- 
cinated person has slowly returned 
to his pristine state of pure health. 



2 Vaccinosis and 

The writer starts with this de- 
claration just to clear the ground, 
and to explain that the following 
pages are neither pro-vaccinational 
nor anti-vaccinational in the or- 
dinary sense, inasmuch as their 
scope is essentially one of aetio- 
pathology and cure, and of Homoe- 
oprophylaxis. — That is to say : the 
writer's aim is to shew, 15/, that 
there exists a diseased state of the 
constitution which is engendered 
by the vaccinial virus (the so- 
called lymph), which state he pro- 
poses to call Vaccinosis, or the 
Vaccinial State; and, 2ndly^ that 
there exists also in nature a notable 
remedy for said Vaccinosis, viz. : 
the Thuja cciden talis ; and, ^rdly, 
that Thuja is a remedy of Vacci- 
nosis by reason of its homoeopath- 



Homceoprophylaxis. 3 

icity thereto ; 4thly, that the law of 
similars also applies to the pre- 
vention of disease. 

Vaccinosis does not express 
merely the same thing as vaccinia^ 
for the latter means the febrile 
reaction which occurs in an organ- 
ism after vaccination, with special 
reference to the local phenomena 
at the point where the vaccinial 
pus, or lymph, is inserted. Some- 
times, also, the term vaccinia is 
applied to a general varioloid erup- 
tion following vaccination ; but 
here, vaccinia is commonly held to 
end. 

Now all this is included by 
me in the term vaccinosis, but 
still / do not mean merely this, but 
also that profound and often long- 



4 Vaccinosis and 

lasting morbid constitutional state 
engendered by the vaccine virus, 
which virus we usually euphemis- 
tically term ** lymph.'' Lymph, 
of course, it is not, but pus — 
matter — and why a specific viru- 
lent pus should be persistently 
called ** lymph" seems somewhat 
peculiar, and is eminently unsci- 
entific. As I am a lover of purity, 
and incidentally also of philological 
purity, I call this *Mymph'' pus, 
because it is pus and not ** lymph.'' 
The diseased state, then, engen- 
dered by this vaccinial pus, by 
vaccination, is vaccinosis ; and in it 
are not included any other diseases 
whose causes may be accidentally 
or incidentally contained in the 
vaccine pus, — such as scrofulosis, 
syphiHs, or tuberculosis. 



Homceoprophylaxis. 



Wherein does the Protective 
Power of Vaccination consist ? 

Given a perfectly healthy indi- 
vidual who has never been vacci- 
nated. We say to such a one, 
you must be vaccinated or you are 
liable to catch small-pox, which is 
often about. Let us pause to note 
clearly that the individual thus 
warned by us as being liable to 
catch small-pox is perfectly healthy. 
Now let us vaccinate this perfectly 
healthy person, and, the vaccin- 
ation succeeding, we say he is 
henceforth protected from small- 
pox. That is to say this thor- 
oughly healthy non-vaccinated per- 
son becomes more or less proof 
against the contagion of small-pox 



€ Vacdnosis and 

by vaccination, or, at any rate, it 
is so averred. 

It may be safely admitted that 
no one can be more than perfectly 
healthy, and any modification or 
altering of perfect health must 
result in a minus, i.e., less thait 
perfect health ; and less than per- 
fect health must necessarily be 
disease or ill health of some sort 
and in some degree. 

Hence it follows that the pro- 
tective power of vaccination is due 
to a diseased state of the body. 
[See Remarks on Homoeoprophy- 
laxis further on.] 

Forms of Vaccinosis. 

Vaccinosis shews itself as a 
formidable acute disease that may 
terminate fatally, or it may mani- 



HomcBOprophy taxis. 7 

fest itself as a chronic affection. 
The ordinary forms of vaccinia 
must, be included under acute 
vaccinosis. The word Vaccinose 
(Vaccinosis) is used* in the homoe- 
opathic literature of Germany, 
though hardly generally accepted. 
So far as I know, it has no place 
in English literature, either homoe- 
opathic or general, at all. But the 
literature of anti-vaccinators teems 
with examples of **ill-eftects of 
vaccination," ** consequences of 
vaccination," and the like. Most 
of these would fall under the 
general term vaccinosis, but only 
in so far as they are due to 
*' pure " vaccine pus. Here let 
me remark that it is too often 
lost sight of that ^^ pure vac- 

* Thuja Occidentalis, by Goullon (j. cit.). 



8 Vaccinosis and 

cine lymph '' means vaccine pus 
(matter) and nothing else, just as 
we would say pure consumption, 
pure syphilis, pure poison. The 
general idea is that pure vaccine 
lymph is as harmless as bread and 
butter. 

Chronic vaccinosis more par- 
ticularly lies completely beyond the 
ken of ordinary medicine, and al- 
though it will sometimes turn up in 
literature as **I11 effects of vaccina- 
tion," it is, nevertheless, but an 
unrecognised waif, much to the 
disadvantage of suffering mankind 
and of medical science. It has not 
yet been sufficiently studied to be 
readily* defined ; except causally, 

• See, however, the writings of Rummel, 
Boenninghausen, von Grauvogl, Kunkel, and 
H. Goullon. 



Homceoprophylaxis. g 

indeed, its very existence is not 
generally admitted. But a study 
of the following cases will afford 
ample evidence that its symptoms 
are very like the pathogenetic 
symptoms of Thuja Occidentalis. 

A few preliminary remarks on 
vaccinosis may here follow before 
we go to my clinical evidence. 

For convenience' sake let us 
call the vaccinated person a 
vaccinate. 



Latent Vaccinosis. 

The vaccinate is one who is 
suffering from vaccinosis ; he may 
not be ill in the ordinary sense, 
but he must be in a subdued 
morbid state, he has been blighted, 
or he is no vaccinate ; it is his 



lo Vaccinosis and 

diseased condition that protects 
him from small-pox. 

Some may, perhaps, say that 
vaccinosis is the same as vaccinia ; 
this is, however, not so ; vaccinosis 
is vaccinia and something more, 
for if a person is vaccinated unsuc- 
cessfully he has not had vaccinia, 
whereas some of the worst cases 
of (my) vaccinosis which I have 
met with were just those in whom 
the vaccination did not ''take,'' as 
the saying goes. Hence I must 
call attention to what I believe is 
a fact, viz. : that it often does take 
deep hold of the constitution with- 
out calling forth any local phenom- 
ena, and, not only so, but such 
cases may be even very severe in 
their internal developments mani- 
fested by the supervention of va- 



Honueoprophylaxis. ii 

nous morbid symptoms after vac- 
cination. Let us dwell a little on 
this novel assertion, I was going to 
say/oc/, yet probably very few will 
admit that it is a fact at all, but 
only a fad of mine, since every- 
body holds that if the vaccination 
does not **take'' the individual 
has remained uninfluenced by the 
process of putting vaccine under 
the cuticle. In other words, when 
a person is vaccinated and does 
not take ; is, in fact, unsuccessfully 
vaccinated, it is held that said 
person is proof against vaccination, 
and we certify accordingly. Every 
one believes that the unsuccess- 
fully vaccinated individual has not 
' in any way been affected or altered 
by the vaccination. 

Close and minute observa- 



12 Vaccinosis and 

TION, HOWEVER, TEACHES ME THAT 
SUCH IS BY NO MEANS NECESSARILY 
THE CASE, FOR NOT A FEW PERSONS 
DATE THEIR ILL HEALTH FROM A 
SO-CALLED UNSUCCESFUL VACCINA- 
TION. My own conception of the 
thing is just this: — The vaccinated 
person is poisoned by the vaccine 
virus ; what is called the ' ' taking ' ' 
is, in point of fact, the constitu- 
tional re-action whereby the organ- 
ism frees itself more or less from 
the inserted virus. If the person 
do not *'take," and the virus has 
BEEN ABSORBED, the ''taking'' be- 
comes a chronic process — paresis, 
neuralgiae, cephalalgiae, pimples, 
acne, &c. The less a person 
''takes," therefore, (in such a case) 
the MORE is he likely to suffer from 
chronic vaccinosis, i.e.^ from the 



Homceoprophylaxis . 1 3 

genuine vaccination disease in its 
chronic form, very frequently a 
neuralgia or paresis. 

Most practitioners will agree 
that neuralgia is more prevalent 
now than ever before within the 
present age, and experience has 
forced me to. ascribe many such 
cases to vaccinosis. 

If my colleagues object to my 
aetio-pathology of such neuralgiae, 
perhaps they will favour us with a 
more satisfactory one. The word 
''neuralgia" covers such a multi- 
tude of sins in the world of no- 
sology and pathology that my 
hypothesis is as exact science 
compared therewith ! 

But what evidence have I to 
offer that shall go to shew whether 
there is such a disease as vac- 



14 Vaccinosis and 

cinosis ? or, that being conceded, 
whether Thuja can cure it ? 

I will first repeat that I do not 
claim to be the originator of this 
clinical application of TAw/'a; Boen- 
hinghausen was, I believe, the first 
to point out the homceopathicity 
of Thuja Occidentalis to small-pox 
itself, and thence its use was ex- 
tended by Kunkel and GouUon to 
the curation of the ill-effects of 
vaccination, or vaccinosis as I pro- 
pose to call it. My attention was 
first arrested by hearing of Dr. 
David Wilson's use of Thuja, and 
then a perusal of Dr. Kunkel' s 
pamphlet and Dr. GouUon' s mono- 
graph on Thuja shewed me the 
great importance of Thuja as a 
dynamic antidote to the effects of 
vaccination. 



Homceopropkylaxis. 15 

Let us now pass on to the con- 
sideration of some cases of what I 
call vaccinosis, and of the be- 
haviour of Thuja therein. 

A Severe Case — A Dying Baby. 

Very early in the year 1881, I 
was called to see a baby in Harley 
street, about ten weeks old : its 
mother thought it was dying. She 
had previously lost babies by 
death, and knew what a dying 
baby looked like. The wee patient 
had begun its life's journey on 
the bottle ; but, being overtaken 
by the measles, it nearly died, 
when a wet nurse was obtained 
and the baby rallied and began to 
thrive. But a new wet nurse had 
to be obtained, as the first went 
dry from over-feeding. The new 



1 6 Vacctnosis and 

wet nurse was healthy and strong, 
but, having gone into the Maryle- 
bone workhouse with her own very 
fine boy, she was re-vaccinated 
the day before she was removed 
therefrom to take charge of the 
patient in question. The baby 
throve for two or three days, and 
the mother was just congratulating 
herself on her success, when one 
afternoon it went very ill, and get- 
ting much worse towards the even- 
ing, the mother sent this message 
to me — '* I think baby is dying." 
I visited the babe in the warm 
and airy nursery and investigated 
everything. There was nothing to 
account for the sudden change. 
Baby was ghastly white, and in 
collapse. On questioning the wet 
nurse as to her own health and 



Homceoprophylaxis . 1 7 

state, she remarked that she was 
quite well (and she looked it, and 
had a notably good appetite), but 
she said her re-vaccinated arm 
*'was a little painful.'' The ves- 
icular stage of the local vaccinial 
eruption was just at the point of 
turning to the pustular. 

I thought the matter over a 
little and came to the conclusion 
that the poor wee thing was, in 
point of fact, sucking the vaccinial 
poison from its nurse through the 
milk. Therefore I gave Thuja 6, 
in pilules, both to babe and nurse, 
but whether every half-hour or 
every hour I do not now remem- 
ber. Calling later in the evening 
I noticed baby was asleep and 
looking a little less ghastly. Next 
morning it was indeed still pale, 



1 8 Vaccinosis and 

but practically well ; and the vac- 
cinial vesicles on the nurse'* s arm had 
withered^ and they forthwith dried 
Up completely, in lieu of becoming 
pustular*. That baby never looked 
back, and is now a bonny child. 

It is iiot possible to prove, of 
course, that this apparently dying 
baby was suffering from vaccinosis. 
It lay apparently dying : I feared 
it would die. But some points in 
connection with this case are in- 
controvertible. For instance, it is 
a fact that the nurse had been 
re-vaccinated ; it is equally a fact 
that she was suckling the baby ; 
the baby was desperately ill of 
something ; it got Thuja and began 
to mend forthwith. Moreover, 
and thisi point is significant, the 
vaccinial vesicles in the nurse's 



Homoeoprophylaxis. ig 

arm withered instead of going on to 
their usual development. Hence 
some disturbing influence rtiust 
have intervened in her organism, 
and the only thing I know of was 
the Thuja. If the Thuja had no 
effect upon the suckling woman, 
what made the vaccinial vesicles 
wither ? 

Let us suppose that they with- 
ered because the milk drained off 
all the virus. But the baby suck- 
ed the milk, and was very ill ; and 
the withering of the vaccination 
vesicles was synchronous with the 
prompt and evident amelioration in 
the child. 

But that is only one case, and 
proves nothing : there are strange 
coincidences in organismic life as 
we all know. 



20 Vaccinosis and 

Now let me narrate to you 
another case of acute vaccinosis, 
but before doing so it might not 
be amiss to interpolate an obser- 
vation by Dr. J. T. Harris, of 
Boston, and published in the New 
England Medical Gazette, for June, 
1883. I quote it entire, because 
it strengthens my position some- 
what ; it runs thus : — 

A Case of true Vaccinia in a Child fol- 
lowing THE VACCINATION OF HER MoTHER. 

On the i^tk of February, 1882, I 
called at the house of Mr. G , intend- 
ing to vaccinate his two children, one 
about three years old, the other a seven 
months* babe at the breast, whose head, 
face, arms, and legs were covered with 
eczema, crusta lacUa, from which it was 
suffering severely. Fearing an aggrava- 
tion of the humour from complication 
with the vaccination, I declined to 



Homceoprophylaxis . 2 1 

operate, giving as my reason that I 
thought the child was suffering already; 
that she would be more feverish, irritable, 
and would require greater care if vac- 
cinated than at present. Although the 
three-years-old child was troubled with the 
same form of humour, I vaccinated her, 
and also the mother. Both vaccinations 
took, and ran the usual course without 
much constitutional disturbance. The 
fifth day after the operation was Mrs. 
G 's sickest day. She then had head- 
ache, backache, fever, and chill. The 
vaccination developed normally, but more 
rapidly than usual. 

On the first day of March the baby 
was more restless and feverish, requiring 
constant care. On the second day the 
mother noticed a number of little red 
pimples upon the child. These increased 
rapidly upon the face, arms, and legs. I 
was called to see the little patient on 
Saturday, the j\.tk of March. The little 
pimples at this time were very numerous, 



22 Vaccinosis and 

had increased in size ; the areola quite 
red ; some swelling ; baby feverish ; tem- 
perature 1 02. To the question, " What 
is it, doctor?" I frankly answered, ** I do 
not know, it is not small-pox nor chicken 
pox. I shall have to wait until it is more 
fully developed.** 

On Sunday morning, the fifth day of 
the fever, the vesicles were forming and 
more or less filled with lymph, and in the 
afternoon some were umbilicated. Fresh 
eruptions were also developing, and upon 
the face, arms, and legs — those portions 
of the surface most severely marked with 
the eczema — the new eruption had be- 
come confluent, the whole character of 
the eruption resembling that of small-pox. 
There were without doubt between four 
and five hundred well-defined circular ve- 
sicles upon the child during the course 
of the disease. I invited Dr. Miles to see 
the case on Sunday afternoon. After a 
careful examination we concluded that it 
was a case of vaccinia, communicated to 



Homoeoprophylaxis. 23 

the child through the mother*s milk. 
That there should be no mistake, however, 
I called upon Dr. McCullom, the city 
physician, reported the case, and invited 
him to see the patient with me, which fie 
did on Monday morning. Dr. Martin, of 
I^oxbury, and Dr. Cutler, of Chelsea, also 
saw tl^e case, and were much interested 
in it, 

On Monday, Tuesday, and Wednes- 
day, the sixth, seventh, and eighth days, 
there was much swelling of the face, 
iarms, and legs, where it had taken on the 
conjfluent form. The little patient was 
quite feverish and restless. On the sev- 
enth, eighth, and ninth days was quite 
hoarse, and had some difficulty in swal- 
lowing. All the symptoms gradually di- 
minished after the ninth day, and many 
of the scabs were rubbed off. On the 
seventeenth day very few adherent scabs 
remained. Aeon, and Tart* emetic were 
the remedies used. 

At the present . time. May 14^^, the 



24 Vaccinosis and 

child shows pits, not deep however. The 
parts where the eruption was confluent 
are still quite red. The eczema, however, 
seems to have left for good, and I am in 
hopes of seeing a good clear skin before 
many weeks. Although the diagnosis the 
first few days was obscure, all doubt was 
removed, and it was pronounced a case of 
vaccinia communicated from the mother. 
You will note that on the fifth day after 
the re- vaccination of the mother the 
paroxysm of fever occurred, and ten days 
after the baby was feverish, and the 
eruption made its appearance one day 
later. We can therefore call it fourteen 
days from the time the babe first took the 
milk impregnated with vaccinia from its 
mother. If the system can thus be so 
thoroughly impregnated with vaccinia, 
may we not also fear various and worse 
evils from the milk of unhealthy and un- 
clean nurses? 

My remark to this instructive 
experience of Dr. Harris is, that 



Homceopropkylaxis. 25 

Thuja Occidentalis was more Ho- 
moeopathic to the case than Aeon. 
and Ant, tart. It shows that 
vaccinia may most probably be 
sucked by the babe in the milk, 
though • this is not conclusively 
shewn, inasmuch as it may have 
been a case of small-pox in the 
suckling. 

The same transmissibility of 
disease through the milk has been 
observed more than once. For 
instance — On Christmas-day last, 
1883, M. Layet and a number of 
medical men, veterinary surgeons, 
and others, examined and reported 
on an alleged case of spontaneous 
cow-pox occurring in a milch cow 
at C6rons near Bordeaux. The 
animal presented on the four teats 
and the neighbouring parts of the 



26 Vaccinosis and 

udder a considerable number of 
small pustules, most of them 
already dried and covered with 
black crusts, but some containing 
a more or less milky fluid. The 
eruption was confluent, and there 
were no umbilicated pimples. It 
had made its first appearance on 
December 22nd. On December 
26/A, six or seven tubes were filled 
with the fluid from such pustule^ 
as had not already burst. The 
reporters state that an infant fed 
with the milk from this cow h9.d 
at the same time presented very 
similar symptoms. 

I now revert to my narrative. 

Observation it. 
Acute Vaccinosis. 
Aug. 2 is/, 1 88 1. — On this day 



Homceoprophylaxis. 27 

there was brought to me a little 
boy, of five months of age, on 
the bottle, and I was informed 
that he had been aihng a week, 
beginning with violent vomiting, 
loss of appetite, and greenish slimy 
diarrhoea. The child looked very 
ill, pale ; upper eye-lids drooping ; 
tongue very thickly coated, moist ; 
temperature high ; throat severely 
ulcerated ; deglutition painful ; on 
the anterior aspect of the uvula 
one saw an open ulcer of about 
the size of a large split pea. The 
greatest distress lay in the throat ; 
the mother brought him on this 
account ; it pained his throat ; 
which was visibly and demonstrably 
severely ulcerated : so I gave him 
Kali Chloratum 6, trituration, a 
dose every hour, and ordered him 



28 Vaccinosis and 

to be kept in a room with a good 
fire, and the windows open. 

Aug. 22nd. — I called and found 
him no worse ; more could not be 
said. He had had a very restless 
night. He was profoundly weak, 
hence I gave Kali Phos. 6 in alter- 
nation with the other medicine. 

2'yd. — Not quite so weak, but 
the green slimy diarrhoea con- 
tinues. To have Merc. iod. 

24th. — The tongue had begun 
to clear a little on the left side, 
but otherwise there was no mate- 
rial change except that he could 
swallow a little better. Baby was 
very weak ; his mother looked up 
at me, and the anxious father kept 
his eyes fixed on my visage, as I 
sat and studied the little man- 
nikin : he looked very pale and 



Homceoprophylaxis. 29 

veiy ill and weak ; could not be 
got to notice anything, but per- 
petually whined in a piteous little 
way. I do not know when I ever 
felt the weight of responsibility 
greater. Previously I had care- 
fully enquired about the drains, 
and had ordered the milkman to 
be changed, and was careful to 
seek for the real origin of the 
child' ^ illness, but I could not 
trace it to anything. ;The dwelling 
was healthy, the bottle clean, and 
there seemed nothing to account 
for the illness. Suddenly it occur- 
red to me to ask when the child 
had been vaccinated. The answer 
was, on the 12th July. I learned 
also that the child had a very bad 
arm, and that the present illness 
commenced on the day on which 



30 Vaccinosis and 

the last vaccinial scab fell off the 
arm. This shed a light upon the 
case and allowed its true aetio- 
pathology to be understood. The 
disease evidently was an en-ex- 
anthem, an eruption on the lining 
membrane of the throat and 
gut, due to the vaccination ; and 
the vomiting, diarrhoea, and sore 
throat started just as these inside 
pustules broke and discharged 
their contents, and the feverishness 
was synchronous therewith. The 
child's organism had essayed to 
free itself from the vaccinial poison 
by an eruption on the internal 
mucous membrane. Had the 
child been stronger the eruption 
would probably have been on the 
skin in the form of an exanthem 
simply. I prescribed Thuja Occi- 



Homceopfophylaxis . 3 1 

dentalis 30, one-drop powders, one 
every two hours, and no other 
medicine* 

^^th.^ — Much better, began to 
mend (in the mother's opinion — 
and what more competent?) **very 
soon after the first powder/' Has 
slept better. To continue the 
Thuja powders. 

28th. — I called to say good-bye, 
and found the little one still rather 
weak, but well and cheerful, and 
at play on his mother's lap. 

Here, Thuja 30 brought health 
to the child and joy to the home. 

Of course this case is not con- 
clusive either; for the effects of 
the vaccination — my vaccinosis — 
may have been working off, and 
the fact of the sudden amelioration 
immediately after the exhibition of 



32 Vaccinosis and 

the Thuja may have been a mere 
coincidence. Pretty well all acute 
cases are open to this objection, 
and hence I will relate no more 
cases of acute vaccinosis : they 
prove nothing, it can merely be a 
question of probabilities. / am 
satisfied that these two cases were 
genuine examples of acute vac- 
cinosis, anjd that the Thuja cured 
them, but others will, perhaps, 
demand further proof before they 
believe either in vaccinosis or in 
Thuja as its cure. 

So let us pass on to the con- 
sideration of some chronic cases 
of the vaccinial state, or vac- 
cinosis. For the sake of reference 
let us number the [lobservations. 
Two I have narrated, and so we 
come to 



Homosoprophylaxis. 33 

Observation Hi. 
Pustular Eruption. 

Mr. J , a hale-looking, 

middle-aged London merchant, 
came under my observation on 
November y^d, 1881. Said he, 
*' I am not a homoeopath, but 
twenty years ago I had eczema, 
and the allopaths could not touch 
it, so I went to a homoeopathic 
doctor, and he cured me/' And 
he went on to say that he believed 
in homoeopathy for skin diseases. 
On the left leg he had a pustular 
eruption due, he believed, to a 
bruise. He had also eczema of 
the ear, and he volunteered the 
information that ever since his 
second vaccination he had been 
subject to eczema. The eczema 

D 



34 Vaccinosis and 

of twenty years ago was soon after 
the re -vaccination. 

R Thuja Occidentalis 30. Four three- 
drop powders to the two dozen. To take 
one, dry on the tongue, three times a day. 

He came in a week nearly well ; 
the pustules had at once begun to 
wither. 

The Thuja was repeated, but 
in less frequent dose, and the 
patient subsequently sent word 
by his brother to say that his 
skin was well, and he himself too 
busy to shew himself as he had 
promised. 

This case also proves nothing, 
because anyone might get a pus- 
tular eruption after a bruise, or 
without a bruise, and be quickly 
rid of it, without either suffering 
from vaccinosis, or getting Thuja^ 



Homceoprophylaxis. 35 

supposedly, to cure it. The fact 
is it is exceedingly difficult to 
absolutely prove anything clinically 
at all. The patient himself at- 
tributed his cure to the powders, 
knowing of old the very stubborn 
nature of all his cutaneous erup- 
tions. 

Observation iv. 

Pustular Eruptions. 

Miss , act, 18, was re- 
vaccinated in July, 1 88 1, at her 
parents' country residence, thirty 
miles from London, by the local 
surgeon, with ** lymph'' direct 
from the calf. The operation was 
very successful, and she had a 
very **fine" arm. But as the 
**arm" was just at its greatest 
perfection she got an eruption on 



36 Vaccinosis and 

her chin covering its whole extent 
and involving the lower lip. The 
thing was very unsightly and had 
a singularly ugly repulsive aspect. 
The gentleman who had done the 
re-vaccination was of opinion that 

Miss had got some of the 

vaccine virus on to her finger-nails 
and inoculated herself by scratch- 
ing. The sequel, however, shewed 
that the chin manifestation was 
from within. The surgeon had 
ordered applications, two of which 
were vaseline and zinc ointment, 
but the eruption on the chin was 
not to be got rid of. The young 
lady had to wear a dense veil to 
hide her face when driving out- 
She was brought to London for my 
advice, and I gave Thuja 30. In 
a fortnight she was out and about, 



Homceoprophylaxis. 37 

and only some diflfused redness of 
the skin remained, but no scar or 
thickened skin. Now, it might be 
objected to this case that the 
Thuja had nothing to do with the 
disappearance of the eruption, be- 
cause it was just the history of the 
disease : it ran through its natural 
course and died. I thought that 
to myself at the time of prescribing 
it, but against this was the fact 
that the arm had healed already, 
and it had depassed the natural 
course of vaccinia by at least a 
fortnight when I first 'prescribed 
the Thuja. But to have a test I 
gave her brother, who also had a 
somewhat similar pustular erup- 
tion (and who had been re-vac- 
cinated at the same time), but 
more spare, and instead of being 



38 Vaccinosis and 

on the chin, it was around the left 
nostril. I say, to have a test, I 

gave this brother of Miss , 

Antimoniutn tart., which is also, as 
every one knows, apparently ho- 
moeopathic to such a pustular 
eruption. This boy's case will be 

Observation v. 

This is the brother of Miss 
. {pbserv. iv.) 



The two eruptions were similar, 
though the boy's was compara- 
tively trivial, and of the same age, 
and from the same cause, i.e., from 
the vaccine virus. The patients 
went into the country, and in two or 
three weeks' time the mother wrote 
that the young lady was quite well, 
** the medicine soon put her right^' 



HomcBoprophylaxis, 39 

was her expression, but the boy 
had ** a bad cold in his head ; 
nose-bleed ; left side of nose swel- 
led and red ; two little spots of 
matter, the size of a large pin's 
head, at the edge of the nostril, 
and below it, having something 

the look of 's chin ; his arm 

is also not well, and he has had 
four little pocks about the vac- 
cination marks." I sent Thuja 
30, and he was reported well in 
ten days. 

If anyone can account for the 
cure of these two cases indepen- 
dently of the Thujay his ingenuity 
is greater than mine. That they 
were causally connected with the 
re-vaccination admits of no doubt 
whatever. Nevertheless, it does 
not do to be quite sure of one's 



40 Vaccinosis and 

facts ; sources of error are often 
very occult. 

Observation vi. 
Post-orbital Neuralgia of 

TWENTY years' STANDING. 

This case (which came under 
observation on January gth, 1882,) 
is one of considerable interest on 
various accounts. Its subject, a 
lady of very high rank, over fifty 
years of age, had been in turns, 
and for many years, under almost 
all the leading oculists of London 
for this neuralgia of the eyes, i.e.j 
terrible pain at the back of the 
eyes, coming on in paroxysms and 
confining her to her room for many 
days together; some attacks would 
last for six weeks. Some of the 



Hontteoprophylaxis. 41 

neuralgic pain, however, remain- 
ed at all times. Her eyes had 
been examined by almost every 
notable oculist in London, and no 
one could find anything wrong 
with them structurally, so it was 
unanimously agreed and declared 
to be neuralgia of the fifth nerve. 
Of course no end of tonics, ano- 
dynes, and alteratives had been 
used. The oculists sent her to 
the physicians and these back 
again to the oculists. The late 
Dr. Quin and other leading homoe- 
opaths had been tried, but **no 
one had ever touched it.*' 

Latterly, and for years, she 
had tried nothing; whenever an 
attack came on, she would remain 
in her darkened bedroom, with her 
head tied up, bewailing her fate. 



42 Vaccinosis and 

To me she exclaimed ** My exis- 
tence is one life-long crucifixion ! " 

I should have stated that the 
neuralgia was preceded and ac- 
companied by influenza. In the 
aggregate these attacks of influenza 
and post-orbital neuralgia confined 
her to her room nearly half the 
year. In appearance she was 
healthy, well-nourished, rather too 
much embonpoint^ and fairly vigor- 
ous. A friend of hers had been 
benefited by homoeopathy in my 
hands, and she therefore came to 
me ** in utter despair." 

These are the simple facts of 
the case, though they look very 
like piling up the agony ! Now 
for the remedy. The resources 
of allopathy had been exhausted, 
and, moreover, I have no con- 



Homceoprophylaxis. 43 

fidence in them anyway ; homoe- 
opathy — and good homoeopathy 
too, for the men tried knew their 
work— had also failed. Do-nothing, 
now much in vogue, had fared no 
better. I reasoned thus : This 
lady tells me she has been vaccin- 
ated five or six times, and being 
thus very much vaccinated, she 
may be just suffering from chronic 
vaccinosis, one chief symptom of 
which is a cephalalgia like hers, so 
I forthwith prescribed Thuja (30). 
It cured, and the cure has lasted 
till now. The neuralgia disap- 
peared slowly ; in about six weeks 
(February 14, 1882) I wrote in my 
case book ** The eyes are well ! *' 

As I have not heard from the 
patient for some time, I am just 
writing a note to her to know 



44 Vaccinosis and 

whether the neuralgia has thus 
far (December 30, 1882) returned. 
The reply I will add. 

Of course, it does not follow 
that because Thuja cured this 
case of neuralgia of some twenty 
years' standing that therefore the 
lady was suflfering from vaccinosis ; 
that Thuja did cure it is incontro- 
vertible, and my vaccinosis hypo- 
thesis led me to prescribe it. More 
cannot be maintained. At least 
the case must stand as a clinical 
triumph for Thuja (30) — this much 
is absolute. 

In reply to my enquiry, I re- 
ceived the following : 

"Jan. 1,(1883). 

..." I have been in very much 
stronger health ever since I crossed your 
threshold, and excepting one or two 



Homoeoprophylaxis. 45 

attempts at a return from the enemy, I 
have been quite free from suffering." . . 

This lady continues well of her 
post-orbital neuralgia at the time 
of going to press. After the dis- 
appearance of- the neuralgia she 
had several other remedies from 
me for dyspeptic symptoms. 

I shall probably never have a 
more severe case of what I con- 
ceive to be vaccinosis than the 
one just narrated, or one that had 
lasted longer. Twenty years may 
be considered enough to declare 
it en permanence^ and its gradual 
cessation within six weeks from 
the time of commencing with the 
Thuja stamps it as an undoubted 
drug-cure. 

However, the following is not 
uninteresting. 



46 Vacciftosis and 



Observation vii. 
Chronic Headache 

OF NINE years' DURATION. 

Miss G , aet. 19, came 

under my care on March 12, 1881, 
complaining of bad attacks of 
headache for the past nine years. 
She said it was as if the back of 
her head were in a vice, and then 
it would be frontal, and throb- 
bing as if her head would burst. 
She was very pale, and her fore- 
head looked shiny and in places 
brown. 

These ** head attacks" occur- 
red once or twice a week. 

Tendency to constipation ; men- 
ses regular ; an old sty visible on 
left eyelid ; poor appetite ; dislikes 



Homceoprophylaxis. 47 

flesh-meat ; liver enlarged a little ; 
had a series of boils in the fall 
of 1880. 

Feet cold ; used to have chil- 
blains. For years cannot ride in 
an omnibus, or in a cab, because 
of getting pale and sick ; skin be- 
comes rough in the wind ; lips 
crack ; gets fainty at times. 

To have Graphites 30. 

April 13/A. — Appetite and 
spirits better, but otherwise no 
change ; questioned as to the dur- 
ation of the head attacks, she tells 
me the last but one continued for 
three weeks — the last, three days. 
Over the right eye there is a red, 
tender patch ; has two or three 
white-headed pustules on her face. 

Was vaccinated at three 
months, re-vaccinated at seven 



48 Vaccinosis and 

years, and again at fourteen. 
Had small-pox about ten years ago. 

Thus here was a case that had 
had small-pox ten years ago, or 
thereabouts, for she could not 
quite fix the date, and had been 
vaccinated three times besides, 
once subsequent to the small-pox ! 

R Tc, ThujcB Occidentalism 3iv. '^x. 
To take five drops in water twice 
a day. 

May 13/A. — Much better: has 
only had one very slight headache 
lasting an hour or two ; the frontal 
tender patch is no longer tender ; 
no further faintiness at all. Lips 
crack. The pustules in the face 
gone and skin quite clear. 

To have Thuja 12, one drop at bedtime. 

June lyth. — Was taken ill yes- 
terday fortnight with soreness of 



Homceoprophylaxis. 49 

stomach ; fever ; nausea and per- 
spiration. Subsequently spots 
broke out like pimples, — eight on 
the face, one each on the thumb 
and wrist, one on the foot, and 
two on the back, — they filled with 
matter, were out five days, became 
yellow, and then died away. Her 
mother says the symptoms were 
just the same as when patient had 
the small-pox. Her headaches 
were well just before this bout 
came on. 

July 15/. — Continues well. 

27/A. — The headaches have not 
returned. 

Feb. 24/A, 1882. — The cure 
holds good, for she has had no 
headache and is otherwise well. 
She had subsequently some other 
remedies for the little tumour on 

£ 



50 Vaccinosis and 

her eyelid and for a small exostosis 
on lower jaw, but she had received 
nothing but Thuja when the cepha- 
lalgia disappeared and it was two 
or three weeks before the next 
medicine followed. 

Some months after this date 
this young lady was brought by 
her mother merely to shew me 
how well she was, and to take 
final leave of me ; two years later 
I learned from her mother that 
she continued well, so the cure is 
permanent. 

An interesting feature in this 
case is the curious attack which 
came on at the beginning of June. 
My reading of it is that it was 
really a proving of ThuJUy or a 
general organismic reaction called 
forth by it ; and this sent me often 



Hommoprophylaxis. 51 

up to the thirtieth dilution in my 
subsequent use of Thuja^ though I 
have occasionally found the third 
decimal dilution answer . better 
than the thirtieth. 

But this is not the point of my 
thesis, for this case was evidently 
cured by the low dilution, and 
when the low dilutions cure, and 
cure promptly, even though not 
very agreeably, but well, it cannot 
be necessary to go up any higher, 
especially as one's faith is suffic- 
iently on the stretch without it. 

Observation viii. 

Enlarged Glands. 

Apex- Catarrh. 

Master C , aet, 1 1 J, came 

under my care on August 18/A, 
1881, complaining of a cough, 



52 Vaccinosis and 

worse at 7-30 p.m. ; he also 
coughed by day and through the 
night, but it did not wake him. 
He perspired fearfully, worst on the 
head, and worse during the night. 
Over upper half of left lung one 
heard moist crackling rales. The 
cervical lymphatic glands at the 
top of the apex of left lung were 
indurated and distinctly ** feel- 
able." He weighed 55/. 4/65. 
The vaccination scars were on the 
left arm, and the glands over the 
apex of right lung were not indu- 
rated. Induration of the lym- 
phatics on the left side of the neck 
(the vaccination being performed 
on that side), is the rule after 
vaccination, as anyone may ob- 
serve for himself if he will take the 
trouble to examine a healthy child 



Homceoprophylaxis. 53 

just before vaccination and any 
time thereafter. I say : any time 
thereafter, for the thing generally 
persists for a very long time unless 
cured by medical art. 

R ThujcB 30, m. ii. Sac. lac. q.s. Fiat 
pulv. Tales xxiv. One, three times a day. 

Aug. 2yth, — ^^Is well of cough, 
but the sweats continue. To take 
no medicine. 

Sep. 6th. — The most careful 
examination of chest reveals no 
rale; there is no cough; the sweats 
have quite ceased ; the said cer- 
vical lymphatics can not be found. 
The boy now weighs 5s/. 8/65., so 
that he has gained 4/65. in weight 
since he got the Thuja. 

Discharged cured, 

Thd. boy had been at school, 
and was sent home to his parents 



54 Vaccinosis and 

by the school physician on account 
of his obstinate cough, and be- 
cause his general symptoms ex- 
cited alarm. To me it appeared 
to be the first stage of phthisis. 
That the boy should increase in 
weight at home just after returning 
from school is, of course, not 
necessarily due to the medicine ; 
home life, too, would improve his 
nutrition generally, and would per- 
haps also account for the dis- 
appearance of the apex-catarrh, 
cough, and perspirations. But 
what is to account for the dis- 
appearance of the induration of 
the cervical glands ? 

Of course this case offers but 
little evidence of the existence of 
vaccinosis or of its cure by Thuja ; 
so I will ask the reader to wade 



Homceoprophylaxis. 55 

through yet a few more observa- 
tions which I transcribe from my 
case books. For if there be such 
a disease as vaccinosis, in other 
words if vaccination have any ill- 
effects beyond those commonly 
epitomized under the name vac- 
cinia, it is clearly important that it 
should be recognized, and, its exis- 
tence being demonstrated, it is 
desirable that we know how to 
cure it, 

Observation ix. 

Hairless Patches on Chin. 

Mr. , a London mer- 
chant, came under my care on July 
27/A, 1882, to be treated for some 
roundish hairless patches on either 
side of his chin, which began four 
months ago. The larger patch on 



56 Vaccinosis and 

the right side was about the size 
of a florin. Had also an old hor- 
deolum on his right lower eye-lid. 

Has been twice vaccinated, the 
second time, twelve years ago, did 
not " take." 

R ThujcB Occidentalis 30 (4 in 24). To 
take one, dry on the tongue, at bedtime. 

Sept. jth. — The bald patches 
are smaller, the one on the left 
side nearly gone. Has, appar- 
ently, a very bad coryza — ? — or- 
ganismic reaction ? 

Rep. 

Oct. ijth. — The bald patches 
are gone ; the old hordeolum also 
gone. The closely-shaven beard 
is now uniform, the previously- 
existing white bald patches being 
completely covered with hair. 

I give this as an interesting 



Homceoprophyiaxis. 57 

cure by Thuja^ but I am riot very 
sure that the disease was really 
due tb vaccinosis because of other 
points in his clinical history. Still 
it might have been so, as the hair 
is very powerfully influenced by 
the vaccine poisoning. Thus 
Kunkel observed both a very weak 
growth of hair, and an excessive 
growth, especially in wrong places, 
as effects, he believed, of vaccina- 
tion. Therefore let it stand as a 
doubtful case of vaccinosis for 
what it may be worth, — but there 
can hardly be any reasonable 
doubt as to the cure of the case by 
Thuja. 

Here it might not be amiss to 
observe casually that the presence 
of sties on the eyelids is often, in 
my opinion, a symptom of vac- 



58 Vaccinosis and 

cinosis. This case is not without 
practical importance, inasmuch as 
hodiernal medicine hands over a 
sty to the chirurgeon's .art ; and 
all the time, poor old dame, weens 
herself so very much superior to 
scientific therapeutics usually call- 
ed homoeopathy. The conceit of 
the orthodoxly ignorant is truly 
sickening. 

Observation x. 

Habitual Influenzas. General 
Ill-health and Headache. 

Mr. , a city gentleman, 

came under my observation on 
December 28/A, 1882, complaining 
that he was suffering from a series 
of neglected colds. He is costive ; 
gets boils and pimples ; has a 
number of warts, both flat and 



Homceoprophylaxis. 59 

pedunculated ; never had gonor- 
rhoea ; has severe frontal headache 
these three months ; much pain 
across chest ; and feels so out of 
health that he can no longer 
attend to his work, which is only 
light office work. He especially 
asks for a preventive for his fre- 
quent influenza colds. Flesh is 
flabby and skin spotted with pim- 
ples. 

The habitual influenza^ the 
chronic frontal headache ^ the pimply 
skin, the feeling of general malaise 
point, according to my experience, 
to vaccinosis. But had patient 
been vaccinated ? Yes. Four 
times, and did not " take " the 
last three times. I do not expect 
many to agree with my theory 
that, when an individual is unsuc- 



6o Vaccinosis and 

cessfully vaccinated, he may have 
been seriously affected in his health 
by the re-actionless vaccination, 
perhaps more so than as if it had 
** taken." But it is a settled point 
with me, and in these cases I find 
Thuja as promptly efficacious as 
in the ordinary forms of vaccinosis. 

R Thuja Occidentalis 30 (4 in 24). One 
at bedtime and on rising. 

January loth^ 1883. — Wonder- 
ful improvement already in the 
first week ; the headaches gone 
(had had them three months), 
pain in chest gone ; and the 
bowels are less costive. What a 
change in twelve days ! 

R Thuja Occidentalis 100, as before. 

February %th. — Well; he com- 
plains of nothing, and merely calls 
to thank me. 



Homczoprophylaxis . 6 1 

This case made a considerable 
sensation in the gentleman's large 
office-circle, partly because the 
change in his condition was so 
sudden and complete, and partly 
because he came to homoeopathy 
demonstratively unwillingly, and 
in consequence of the earnest 
solicitations of his chef de bureau. 

Observation xi. 

Acne of Face and Nose, and 
Nasal Dermatitis. 

A young lady, about twenty 
years of age, was brought by her 
mother to me on October aS^A, 
1882. Patient had a very red 
pimply nose, not like the red nose of 
the elderly bibber, or like that due 
to dyspepsia or to tight-lacing, but 
a pimply, scaly nasal dermatitis. 



62 Vaccinosis and 

which extended from the cuta- 
neous covering of the nose to that 
of the cheeks, but appearing here 
more as facial acne. The nasal 
dermatitis was, roughly, in the 
form of a saddle. Of course this 
state of things in an otherwise 
pretty girl of twenty was painfully 
and humiliatingly unpleasant to 
her and to her friends, in fact it 
was likely to mar her future pros- 
pects very materially, more espe- 
cially as it had already existed for 
six years and was making no signs 
of departing. She also complained 
of obstinate constipation. The 
pimples of the nose and face used 
to get little white mattery heads. 
In trying to trace the skin-affection 
back to its real origin I ascertained 
that the patient was re-vaccinated 



Homceoprophylaxis. 63 

six years ago, but she could not 
remember whether the nose was 
previously affected or not. This 
re- vaccination was unsuccessful, 
i.e. J it did not ** take." 

R Thuja Occidentalis 30. . 

November y^th. — Pimples of 
face decidedly better. Nose less 
red. Constipation no better. 

R ThujcB Occidentalis 100. 

January 3^^, 1883. — The face 
is free ! Her mother gratefully 
exclaims, **She is wonderfully bet- 
ter." I ask the young lady which 
powders did her most good; she 
says, *'The /as/." The skin of 
the nose is normal, but the consti- 
pation is no better, and for this 
she remains under treatment. 

That Thuja cured this case is 
incontrovertible, but that it was a 



64 Vaccinosis and 

case of vaccinosis is not quite so 
certain, though it is far from im- 
probable. The re- vaccination and 
inflammation of the skin of the 
nose were referred both to six 
years ago when she was in Swit- 
zerland at school ; but patient 
could not remember which was 
the first, the bad nose or the 
vaccination. 

Observation xii. 

Neuralgia of Right Eye. 

Mr. , a gentleman of 

position and means, about fifty 
years of age, came to consult me 
on 28th June, 1882, for a neu- 
ralgia of the right eye. He had 
come in consequence of the cure 
of the case recorded here as Ob- 
servation vi. 



Homceoprophylaxis. 65 

He complained of almost con- 
stant pain in right eye ever since 
Christmas, 1881, i.^., just about 
six months. Had had neuralgia 
in head and shoulders in 1866, 
and so much morphia had been 
injected in his shoulders by a 
doctor in Scotland that it almost 
killed him: for seven or eight 
hours it was doubtful if he would 
recover. 

Has a brown, eczematous, 
itchy (at night,) eruption on both 
shins and between the toes. The 
neuralgia of right eye, and for 
which he comes to me, is bad 
both by day and night, but rather 
worse at night. Mr. (now Sir 
William) Bowman had examined 
the eye and declared it to be 
neuralgia, the eye being normal. 



66 Vacctnosis and 

Mr. White Cooper had done the 
same. 

On my enquiring when he was 
last vaccinated, he seemed com- 
pletely frightened, and stammered 
out rapidly, ** I should not like to 
be vaccinated again." 

'' Why ? " 

** I was very seedy the last 
time I was vaccinated, in fact I 
felt awfully ill for about a month," 
and he again hurriedly protested 
that he would not like to be vac- 
cinated again. The vaccination 
that had made him so ill was 
either in 1852 or 1853. 

This seemed to me to be a case 
of vaccinial neuralgia, and therefore 
I ordered Thuja 30, in infrequent 
dose. This was on the 28/A of 
June, 1882. 



TTomcBOprophylaxis. 67 

July Sth. — But very little pain 
after the first powder. To have 
the same medicine again. 

The cure proved permanent, 
and is interesting as proof of the 
rapidity with which the most like 
remedy can cure a neuralgia. 
And, considering how ** awfully ill'' 
he had been after his last vaccina- 
tion, I think it rather probable 
that this case is an example of 
vaccinosis. 

What do you think ? 

Having narrated some rather 
striking cases of what I conceive 
to be the neuralgia of vaccinosis, 
let me pass on to a case shewing 
evident tissue change or organic 
disease. It will be 



68 rikrr^^ mmd 

Befrtg 2. case of 

Diseased Fesger-xails. 
On EKicember zzmJ^ 1882, a 
yocn^ lady ot 26 came under my 
care toe an o^^v state c^ the nails 
of her fingersw Naturally a lady of 
her age would not be indi£ferent to 
the state of her nails. These nails 
are indented rather deeply, and in 
addition to these indentations 
there are black patches on the 
under surfeices of the nails, reach- 
ing into the quick. Very sUght 
leucorrhoea occasionally. She 
had chicken-pox as a child of 
eleven. On her shoulders there is 
an eruption of roundish patches 
forming mattery head^. Has been 
vaccinated three different times ; 
the last time two years ago, and 



HomcBOprophylaxis. 69 

the nails have become diseased 
since this last vaccination. The 
black patches have existed these 
eighteen months. 

Looking upon this diseased 
condition of the nails as evidence 
of chronic vaccinosis I ordered her 
Thuja 30 (one in 6). 

March ig/A, 1883. — Has con- 
tinued the Thuja 30 for just about 
three months, with the result that 
within a fortnight from commenc- 
ing with it the black patches un- 
der the nails began to disappear, 
and there is now no trace of them. 
The indentations are notably bet- 
ter. The eruption on the back 
has not been modified, and for 
this she remains under treatment ; 
but I thought this much of a case 
of nail disease would be of some 



70 Vaccinosis and 

interest, and the more so as it is 
not easy to demonstrate drug- 
action on nail growth at all. 

We will now go back to the 
head and the central nervous 
system. 

Observation xiv. 

Case of Ptosis. 

A young lady of about 25 years 
of age came to me in May, 1881, 
telling me that she had had some 
tooth-stumps extracted in Novem- 
ber, 1880, whereafter there was 
haemorrhage for eight or nine hours. 
Two very able men in the homoeo- 
pathic ranks had treated her for 
some time with much benefit, but 
she still remained ill. Conium had 
been of greatest use. She still 
complained of ptosis of left side ; 



Homceoprophylaxis. 71 

sleeplessness ; reeling to the right 
when walking out of doors, ten- 
dency to fall to the right. I gave 
her Equisetum hyemale {y) because 
her tongue was cracked. (Clin- 
icians may note this valuable little 
wrinkle, i.e.^ cracked tongue=^Equu 
setuMj of which I first saw an 
account in the Therapeutic Gazette.) 
It was continued for months with 
very great benefit, and was fol- 
lowed by Bellis per., and then by 
Juglans regia, &c. Then came 
A vena sativa fl, Cadmium 6 and 12, 
and Psoricum 30, and finally Tito- 
nium^o. 

These more or less well-chosen 
remedies wrought a great change 
in the patient, but on the 2gth 
July, 1882, she still complained 
that the left eye was wrong. It 



V 



72 Vaccinosis and 

made her feel sea-sick when she 
read ; pains in left eye worse in the 
early morn ; some ptosis of left 
upper lid ; eye-ball stiff, and an 
aching across it and right across 
the forehead, and she was giddy in 
walking about. 

The case having thus come to 
a standstill, I cast about for some 
aetiologico-therapeutic appuij and 
in so doing learned that she had 
been vaccinated four times in all ; 
the last time, three years ago, took 
but faintly. 

Thuja 30 soon cured the ptosis 
and the other described symptoms. 

Of course I cannot prove that 
we had here to do with a case of 
vaccinosis, but such it appeared 
to me. Well-chosen remedies had 
greatly benefited the patient, but 



Homceoprophylaxis. 73 

there seemed to be a bar to the 
complete cure, and Thuja effectu- 
ally removed this bar. 

In chronic disease, when the 
right remedies seem barred in 
their action, Hahnemann, on the 
off-chance that it might be due to 
psora, recommended his disciples 
to interpose sulphur as the great, 
most likely, anti-psoric. Most of 
us have found this a very valuable 
clinical suggestion, Similarly, I 
have found that vaccinosis fre- 
quently bars the way, and then 
Thuja comes in with simply the 
beautiful effect of a genuine 
simillimum. 

I shall narrate several more 
such cases before I take my leave, 
so that others may be in posses- 
sion of evidence sufficient to form 



74 Vaccinosis and 

a judgment on the questions of 
whether there exists such a morbid 
state as vaccinosis ? and whether 
Thuja can cure the same ? 

Observation xv. 

Paresis. 

Mr. , a private gentle- 
man, married, and one who had 
always led a healthful life, but too 
great a traveller, came under my 
observation early in the year 1882, 
in a very weak condition. He had 
had slight hemiplegia of the right 
side, and still shewed some symp- 
toms of paralysis, e.g.^ weakness 
of right arm, occasional dragging 
of the legs, loss of memory, im- 
paired vision, and loss of power 
generally. His effective virility 



Homceoprophylaxis. 75 

was extinct, and had been so for 
two or three years, and naturally 
this did not tend to raise his 
spirits. I treated him for a few 
months with but slight benefit, 
when one day he complained of a 
frontal headache that at once re- 
minded me of the Thuja headache. 
I gave him Thuja occidentalis 30 
(4 in 24) and within a few days 
he remarked a very notable im- 
provement, feeling better than he 
had for three years. Getting this 
report at his next visit, I fell to 
questioning him about vaccination, 
which I had previously not done : 
and what was the answer ? 

Feb. 24/A, 1883. — ** How many 
times have you been vaccinated ? ' ' 

**I have been vaccinated six or 
seven times." 



s -^ 



axd 



- Dii h ake everr time ? " 

And firom close qaesdomiig I 
sads&ed myself that this gentleman 
had been six times ifiisaccessfally 
vaccinated, and this su^ested to 
me that he was really suffering 
from that vaccinial bUght which I 
have ventured to call vaccinosis. 

Patient had received only four 
doses of the Thuja 30 in the early 
part of January, 1883, just to cure 
his headache, and which resulted, 
inter alia, in a hypopubic resurrec- 
tion of great importance ; and the 
headache having simultaneously 
left him, he then took the consti- 
tutional remedy I had prescribed, 
viz., Titanium J and continued it 
until a few days ago. I had in- 
structed him to take the Thuja 



Homosoprophylaxis. yy 

only for a few days, till his head- 
ache disappeared. 

Now, thought I, we will satu- 
rate him with Thuja and extinguish 
the vaccinosis ; so I gave him this 
prescription : 

R Tc. Thuja Occidentalis 3, 5 iv. To 
take four drops in water night and morn- 
ing, and report in a month. 

The result was quite satisfac- 
tory, and he became, in his wife's 
words — ** quite a different man ; " 
all paralytic symptoms having dis- 
appeared, and the old headache 
had not returned at the end of 
1883, when I last saw him. 

Loss of virile power is fre- 
quently a result of vaccination, 
and when the local debility is due 
to this cause it is really wonderful 
how the case is altered by a few 
doses of Thuja. 



yS Vacdnosis and 

Observation xvi. 
Case of Spinal Irritation. 

Miss , aet. 29, came under 

my care in November, 1882, com- 
plaining of owning a spine. She 
had been under the best physicians 
and surgeons of London. Had 
derived a Httle benefit firom many, 
most, she thought firom the move- 
ment cure, under Dr. Roth, of 
Wimpole Street. She also alleged 
that mesmeric passes had eased 
her a good deal. 

Her symptoms were legion ; she 
was bent forward, could scarcely 
walk, her spine very tender and 
painful ; twitchings ; pain all down 
the back ; and chilliness, worse at 
night. Her liver was decidedly 
enlarged and there was pain in the 



Homceoprophylaxis. 79 

right side. This hepatic disturb- 
ance was righted by Chelidonium 
majus I ; five drops, in water, twice 
a day. Then, on December igth, 
I gave her Kedrqn i, which cer- 
tainly eased the cephalalgia and 
chilliness a good deal, and it was 
therefore continued till 

February gth^ 1883, when I 
went into her case a little more 
thoroughly as to its anamnesis. 
She had been vaccinated four 
times successfiiUy, once it did not 
take. 

R ThujcB Occidentalis 30. 

March %th. — Patient exclaimed 

. . . . "that is capital stuff; I am 

very much better ; my back is very 

much better ; the coldness is gone ; 

I am so much stronger altogether." 
Rep. 



8o Vaccinosis and 

March 315^. — Back '* wonder- 
fully better." 

She needed several other reme- 
dies, but practically her cure- was 
effected by Thuja. 

On May 17/Ashe had Thuja 100 
and soon afterwards began to play 
at lawn-tennis. 

On June 12th she reported her^ 
self thus — *' I have not been so 
well for three or four years ; I feel 
strong, and can do anything." 

I do not know whether any one 
will admit that this was a case of 
vaccinosis ; certain it is that she 
had been vaccinated five times 
and was very ill, practically an 
invalid, till I gave her Thuja^ and 
then she mended and is now well 
and comparatively vigorous. 



Homceoprophylaxis. 8i 

Observation xvii. 

Case of Scrivener's Cramp ; 
Cephalalgia, and Enlarged 

Spleen. 

Miss , aet. 29, a city 

clerk, came under my observation 
on May ythj 1883, complaining of 
much epigastric beating, pain in 
left side, great chilliness, and 
writer's cramp of the right side. 
An examination shewed an en- 
largement of the spleen, and a 
swelling of the left ovary of about 
the size of a hen's egg. Her 
breath is heavy, and she gets gid- 
diness. She hzs frontal headache of 
a severe kind almost every day for 
a long time. 

R Ceanothi Americani i. Five drops, 
in water, three timfes a day. 



82 Vaccinosis and 

May 30/A. — Side is much bet- 
ter; the chiUiness is better; the 
feet warmer ; the beating less. 

Rep, et Cup. acet. i. 

July 30^A. — Side nearly well ; 
paining every alternate day or so. 
Pain in the back no better ; giddi- 
ness better. Complains especially 
of the severe frontal headache, and 
the cramps in the right arm are so 
bad that she has had to give up 
office work. 

Has been vaccinated three 
times, but the last time it did not 
take. 

R TV. ThujcB Occidentalis 30, night and 
morning". 

August 16th. — Headache and 
writer's cramp well. She returns 
to work. 

November 16/A. — Continues at 



L 



Homceoprophylaxis. 83 

office work with comfort ; no re- 
turn of either headache or cramps. 
Continues under treatment for 
ovarian tumour, and gets Silicea 6. 
The hydrogenoid constitution 
of von Grauvogl was here well 
pronounced, and what I call vac- 
cinosis was implanted on it. The 
action of Thuja was most marked, 
prompt, and durable. Questioned 
on November itth as to which 
medicine cured the headache and 
the cramps, she instantly said it 
was the powders (i^e.^ the Thuja). 

Observation xviii. 

Arrested Development and 
Hemiparesis. 

Miss , aet. 16, was brought 

to me on May 16/A, 1883. This 
was her state : roof of mouth very 



84 Vaccinosis and 

much arched; left side of face 
drawn to the left so that her 
mouth is awry. She speaks very 
badly ; cannot articulate properly ; 
and is very deaf. Has always 
been so. Has a polypus in left 
nostril ; the tonsils are enormously 
hypertrophied ; breathes very loud- 
ly. Left mamma smaller than the 
right ; left side of thorax generally 
smaller than the right. Tongue is 
cracked ; pain in left side for 
years ; frontal headache for a 
twelvemonth. Menses normal, 
having begun six months ago. 
She was vaccinated at the age of 
three months ; it did not take^ and 
so she was done a second time in 
both arms, when it took fairly well. 
Patient is the child of healthy 
parents, and there did not appear 



Homceoprophylaxis. 85 

to be anything to account for the 
extraordinary backwardness. I 
reasoned that the child had evi- 
dently been blighted by the vac- 
cination, for she did not readily take 
(the organism resisted), and then 
did take (organism overcome). 

R ThujcR Occidentalis 30. Two drops, 
daily, for four weeks. 

Now note the sequel, not for- 
getting that the child's condition 
had been, as described, nearly all 
her life. 

June 13/A. — On this day her 
mother brought her and reported — 
this is the note in my case book : 
*' on the whole very much better ; 
can certainly articulate better ! ! 
and the head and face are not so 
onesided, and she hears better ! ! " 

Both parents were agreed that 



86 Vaccinosis and 

the changes had been wrought 

since the medicine had been taken. 

The father is an unusually gifted 

professional man, and the mother 

an educated lady. 
Rep. 

July I ith, — Headache well ; 
side pain better ; and the whole 
state is better. Considering the 
vaccinial blight removed I gave 
Ceanothus Americanus i, five drops, 
in water, night and morning, for 
two months. I gave this because 
the spleen was enlarged, and I 
thought its specific influence on the 
left side generally might be bene- 
ficial. I was not disappointed, 
but very much gratified to see that 
the left side of thorax began to 
grow^ and also the left mamma. 
The little play of the imagination 



Homczoprophylaxis. 87 

here as to the leftsidedness of the 
action of Ceanothus was fruitful. 

September yth. — The increased 
dulness on percussion in the left 
hypochondrium having disappear- 
ed, and the left side having been 
manifestly bettered, and that con- 
siderably, I reverted to the Thuja^ 
and this time gave it in the hun- 
dredth centesimal dilution. 

October jth. — Under this date 
I read in my case book — '* Side 
remains well, but she seems to 
have suffered a good deal generally 
while taking the Thuja 100. She 
articulates decidedly better, speaks 
now so that I can understand her, 
and her hearing is greatly im- 
proved." She remains under treat- 
ment, and will receive other con- 
stitutional remedies, but the influ- 



88 Vaccinosis and 

ence of the Thuja upon her has 
been most marked and remarkable. 
I have myself no doubt that the 
child's condition of hemiparesis 
arose from the vaccinial blight, 
i.e.^ from vaccinosis ^ she being 
originally delicate, particularly her 
nervous system. 

Observation xix. 

Neuralgia of Eyes of Nine 
Years' Standing. 

Miss , act. 20, came to 

me on January 18/A, 1883, with 
various ills. The constipation for 
which I had treated her had been 
cured by Nux 30 and Sulphur 30, 
but the fluor albus was no better. 
" But then," said she, " there is 
the neuralgia in my eyes, which I 
have had for nine years, nothing 



Homceoprophylaxis . 89 

has ever touched that." The neu- 
ralgia complained of was worse in 
the morning and at the menstrual 
period. 

Thuja 30 (4 in 24), One at night. 

I saw her no more till the Sth 
of December, 1883, when she called 
complaining of too frequent and 
too profuse menstruation. 

''What about the neuralgia ?" 
*' Oh ! that is cured ; I have 
not had it since those powders." 

Was this a case* of vaccinosis ? 

Patient had been twice vac- 
cinated, and the second time was 
when she was 15 years old, when 
it did not take. I do not feel so sure 
that this was a case of vaccinosis, 
because patient was revaccinated 
unsuccessfully after this neuralgia 



go Vaccinosis and 

began, and besides, her mother 
died of epithelioma, so it may have 
been merely a case of sycosis Hah- 
nemanni. The only certain thing 
about it is that the neuralgia had 
lasted nine years, and disappeared 
after the giving of the Thuja. 

I have treated a certain number 
of other cases, with varied disease 
symptoms, on the hypothesis that 
I was dealing with vaccinosis, and 
often with results little short of 
startling, but I hardly think it 
would serve any useful purpose to 
multiply examples. The foregoing 
observations embody and exemplify 
all that is essential of what I have 
observed and thought on the sub- 
ject ; if other physicians will fol- 
low on the same lines the reward 



Honueoprophylaxis. gi 

will be theirs and mine ; and if 
they will not, then the reward still 
is mine in this that I have cured 
very obstinate cases of disease by 
reckoning with vaccinosis as a 
clinical fact, and as a man I could 
not do less than lay what I believe 
I know on the subject before the 
world. It remains for others to 
judge whether the work was worth 
doing. 

Although I had fully intended 
citing no more cases of vaccinosis 
and its cure by Thuja, still the 
following very recent observation 
is really too telling to be left out. 

Observation xx. 

On January 25/A, 1884, I was 
requested to see a lady in a well- 



92 Vaccinosis and 

known London Square. She is 
a trifle over fifty, healthy looking, 
and enjoWng good health except 
for her headaches. These head- 
aches were the bane of her life, as 
any extra exertion, worry, or work 
put her out and brought them on 
or exacerbated them. A few vis- 
itors at her house, her ordinary 
social duties, a dinner, an evening 
at the theatre, a little meeting for 
benevolent purposes, an uncivil 
ser\*ant — each and all put her hors 
d€ combat with her headache. She 
had had them "every few days 
and ever since she could remem- 
ber, but greatly increased in 
severity during the past three 
years." She did not expect to be 
cured ; "at my age, and after so 
many years," said this lady. 



Homosoprophylaxis. 93 

Moreover, she did not believe in 
homoeopathy, ''no, not in the least, 
but I have tried all the best 
doctors and they have failed, and 

hearing from Lady , that 

you were specially good at head- 
aches, I determined to send for 
you." 

''Vaccinated ? " " Oh ! yes, five 
or six times ; has not taken for 
years ; do you think I had better 
be done again ? ' ' 

Thuja Occidentalis 30. 

On Feb. gth I called.—" Oh, 
I am better, I have only had one 
headache — two days after I began 
with your powders — and I am very 
much less nervous.'' To continue 
the medicine. 

March 2nd. — " I have not had 
any headache at all, although I 



94 Vaccinosis. 

have been doing just the very 
things that always bring them on ; 
I have the greatest confidence in 
homoeopathy, &c." 

These are, professional brother, 
what I conceive to be clinical facts. 
The lady had had headaches for 
more than 30 years ; I gave her 
Thuja^ and the headaches de- 
parted, and thus far have not 
returned. 

But what are facts to me may 
be faddles to you, all laws of evi- 
dence to the contrary notwith- 
standing. 



SOME REMARKS 
ON HOMCEOPROPHYLAXIS. 



In the April number, 1884, 
of the Homceopathic Worlds there 
appeared the following commu- 
nication to the Editor: — 

Dr. Skinner on M. Pasteur's 
homcbopathy. 

Dear Sir, — If the italicised is not 
Homoeopathy, what is it? 

Thos. Skinner, M.D. 

25, Somerset St., W., Feb. 27, 1884. 



M. Pasteur's Experiments. 
M. Pasteur made an interesting com- 
munication to the Paris Academy of 
Sciences on Monday in relation to canine 
madness. His experiments had shown 
him that an injection in the region of 
the skull of the virus of rabies always 



96 HonuBOprophylaxis. 

produced the malady in an acute form, 
but that an injection in the veins only 
occasionally had acute results, being often 
followed by chronic affection only, with- 
out barking or ferocity. If a dog were 
inoculated with fragments of marrow or 
of nerve taken from a mad dog, the dis- 
ease would be communicated. M, Pasteur 
further stated that he had rendered twenty dogs 
proof against the disease by inoculating them 
with other virus than the virus of rabies. Fowls 
and pigeons injected with the latter be- 
came affected, but soon recovered spon- 
taneously. 

** If the italicised is not Ho- 
moeopathy, what is it?" Just so, 
what is it? 

I think a little reflection will 
shew that it belongs in the sphere 
of preventive medicine, and is not 
homoeopathy, i.e.j it is an exten- 
sion of the principle of similars to 
the prevention of disease. 



HomcBOprophylaxis. 97 

Many other ardent homoe- 
opaths besides Dr. Skinner have 
claimed that vaccination is a proof 
of the truth of homoeopathy; 
that it is, in fact, part and parcel 
of it. Evidently this is from the 
want of a little thought on the sub- 
ject, since it must be manifest that 
such is quite impossible, for the 
simple reason that homoeopathy 
is a system of curing — similia 
similibus curantur — whereas vac- 
cination is not a curative measure 
at all, but a preventive one. And 
since prevention is, admittedly, 
better than cure, it must follow 
that it cannot be the same; 
therefore, vaccination is not ho- 
moeopathy, though I shall suggest 
that it might fitly be termed 
HomceoprophylaxiSj inasmuch as 

H 



gS Hcrmceopropkylaxis. 

vaccinia and Yariola are similar 
postnlar diseases, and the former 
being preventive of the latter, 
it may be in obedience to the 
principle — uke prevents like. 
Being a question of prophylaxis, 
it cannot be classed in any system 
of cure. And that likes are pre- 
vented by likes, / could adduce 
very many examples to shew, 
did the narrow limits of this little 
treatise admit of it. Here it 
must suffice to diflFerentiate be- 
tween homoeopathy aAd homoeo- 
prophylaxis, and to endeavour in 
a very general way to study a 
little the true nature of the latter 
as exemplified in vaccination and 
analogous facts such as Pasteur's 
inoculations. 

Giving a variolous patient vac- 



Homceoprophylaxis. gg 

cine pus, or lymph (vaccininum) , 
wherewith to cure his small-pox, 
that is homoeopathy, and we have 
ample testimony that it will thus 
act if given in refracted dose, and 
thus acting, it can hardly be other 
than homoeopathic in such action. 
The law of similars is the ground- 
work of both ; in the one case to 
prevent, and in the other to cure. 

M. Pasteur and others, by their 
inoculations, are empirically la- 
bouring to extend homceoprophy- 
laxis in the line initiated by Jen- 
nerian vaccination, or rather it is 
a revival of the old inoculation 
for small-pox, and on a line with 
s3rphilization. 

We are here met by the dose- 
question, just the same as we are 
in homoeopathy, or the treatment 



loo Homceoprophylaxis. 

of disease by the light of the law of 
likes. By the clear light of this 
same law will preventive medicine 
also have to march. 
But the dose ? 

Jennerian vaccination is in ac- 
cordance mth the principle of 
homceoprophylaxis, though only 
enunciated as an empiric fact by 
Jenner, and ever since practised as 
such. Pasteur gets, perhaps, a 
little further by advancing along 
the line of ** cultivating." One 
cannot help wondering, however, 
how much Pasteur knows of iso- 
pathy and of homoeopathy. We 
will return to M. Pasteur's experi- 
ments presently. 



Homosoprophylaxis. loi 

Nature of Homceoprophylaxis. 

The prevention of disease ac- 
cording to the law of similars — 
homceoprophylaxis — is still strug- 
gling with its swaddling clothes, but 
we may reflect on the following : — 

Two similar diseases will affect 
the organism similarly : they will 
affect the same parts, organs, or 
tissues, and in a like manner. 

If we call the two diseases a 
and by and the organism O, then if 
a fall upon O, and affect it posi- 
tively (positive effect = c), this 
effect of a upon O, c, will be like 
the effect oi b (= d)^ for a and b 
are alike. 

Now if we admit that the simi- 
larity between a and b is enough 
to render them effectively equal, 
potentially congruent, then we 



I02 HonuBOprophylaxis. 

should say a = b, and therefore 
c=d. Consequently 0+a^O+by 
and O 4- c = O + rf. 

That is the question for the 
solution of which we must appeal 
to scientific experiment, both at 
the bedside and in the laboratory, 
as well as to abstract reasoning. 

It has frequently appeared to 
the writer that time and quantity 
(dose) , are not duly reckoned with 
in the question of the efficacy or 
inefficacy of Jennerian vaccination ; 
and Pasteur seems also to lose 
sight of both factors in his own 
experiments. The great mass of 
medical men firmly believe that 
vaccination protects against vari- 
ola ; and, that vaccinia and variola 
are alike is quite certain ; it is 
only the degree of the likeness that 



Hontceoprophylaxis. 103 

can be subject of dispute, for both 
are pyrexial pustular diseases. 

Statistics of a number of years, 
nevertheless, shew that variola is, 
in the aggregate, about as deadly 
as ever, allowing for a natural 
decrease in its vis by age ; this 
cannot be controverted, so much 
must be conceded to the anti- 
vaccinators. 

And yet, given groups of indi- 
viduals are evidently protected /or 
the time from variola by vaccina- 
tion, and the more recent the vac- 
cinia the greater the temporary 
protection, provided the effect of the 
vaccination be not too great, in which 
case there will be a homceoprophylactic 
aggravation, and then there will not 
only be no protective power, but on 
the contrary the vaccinate will be 



I04 Homceoprophylaxis. 

predisposed to itj i.e., instead of a 
positive and a negative eliminating 
one another we shall have two 
positives to be added together. 

Let us express the difference 
between a vaccinated and an un- 
vaccinated individual by the al- 
gebraic quantity x. Now, what is 
the nature of x ? Is it positive or 
negative ? Quoad perfect health it 
is negative, but quoad the organis- 
mic individual it is positive, if a 
diseased condition can be said to 
be a positive one. 

To begin with, it is inconceiv- 
able that X should be a constant 
FACTOR, which is evidently the 
general assumption; it must be 
an always lessening quantity, and 
X might thus be initially congruent 
with variola, while it may at any 



HomcBOprophylaxis. 105 

subsequent point be incongruent. 
This really expresses the sum of 
human experience on the question 
of the efHcacy or inefficacy of Jen- 
nerian vaccination, though it is 
not apprehended; whence the cry 
for re-vaccination coup sur coup on 
the one hand, and the want of 
faith in vaccination on the other, 
both positions being readily com- 
prehensible if the effect of vacci- 
nation be recognised as an incon- 
stant factor. 

And from these considerations 
it must be manifest that the pro- 
tection afforded by vaccination will 
be different in different individuals, 
and diminishingly different in the 
same individual, and always grow- 
ing less and less until it is nil. 
Thus X might to-day be preven- 



io6 Honugoprophylaxis. 

tively equal to variola in an en- 
demic form, but not equal to it in 
epidemic form. In other words 
the protection afforded by x is 
relative and contingent. More- 
over, if the vaccinosis be too great, 
i.^., too powerfully diseasing, it not 
only cannot protect, but must 
actually add fuel to the flames. 

We thus appear to arrive at 
the conclusion that vaccination 
does relatively and contingently 
protect from small-pox as a dis- 
ease, but nevertheless, the mor- 
tality from small-pox remains in 
the aggregate the same, but in a 
greater percentage. That is to 
say, fewer people probably get 
small-pox, but the absolute num- 
ber of deaths is not affected, or is 
greater. 



Honueoprophylaxis. 107 

In pro-vaccinational and anti- 
vaccinational literature , morbility 
and mortality are commonly con- 
founded together. We have no 
means of knowing how many 
people get small-pox, either abso- 
lutely or proportionately, we only 
know how many die of it. There- 
fore all the vaccination statistics 
are wide of the mark except per- 
haps those in certain hospitals. 
The pro-vaccinators maintain that 
vaccination protects from variola 
because they see that, as a general 
rule, the vaccinated do not get 
small-pox. The anti-vaccinists say, 
** Oh ! but a good many of your 
vaccinated persons do get small- 
pox nevertheless, and the mortality 
from small-pox is as great as ever, 
or greater than ever ! " Both 



io8 Homoeoprophylaxis. 

sides are honest ; both are appar- 
ently deaHng with facts ; both are 
striving after truth, and collec- 
tively they expend enough human 
energy to enrich a nation or colo- 
nize a continent. Where then is 
the missing link ? 

While writing this, an ardent 
bacterist. Dr. H. Thomas, of Llan- 
dudno, very kindly sends me a 
clipping from the Athenceum of 
March 15/A, 1884. It run thus: 

M. Pasteur and his fellow labourers 
communicated to the Acad6mie des Sci- 
ences on the 2^th of February the impor- 
tant fact that by inoculation with virus 
taken from mad dogs they can render all 
dogs absolutely safe from the effects of 
rabies, in whatever way and in whatever 
quantity the virus may be administered. 

This is the same fact referred 
to by Dr. Skinner further back. 



Homosoprophylaxis. log 

But we find no principle enun- 
ciated here by the Athenceum ; 
nevertheless, the results must be 
in obedience to the law of similars in 
prophylactics — homoeoprophylaxis. 

Here M. Pasteur and his fel- 
low-workers, just the same as the 
Jennerian vaccinators, and the an- 
ti-vaccinators — here, I say, they 
practically ignore the element time^ 
and the altering nature of the pro- 
tection. When people speak of 
** the necessity of r^- vaccination, 
because vaccination loses its ef- 
fect," time IS roughly reckoned 
with, but an arbitrary limit is set 
entirely devoid of any scientific 
basis. 

On the other hand it has been 
often noticed that a healthy person 
gets variola soon after vaccination, 



no //omceoprophylaxis. 

which to my mind mihtates in no 
wise against a beUef in the protec- 
tive power of vaccination, but is 
to be interpreted as meaning that 
the vaccinial infection was more 
than enough ; just the same as a 
little Aconite will lessen feverish- 
ness, while much Aconite will make 
the feverishness worse. 

Continuing now to let x stand 
for the difference between a vac- 
cinate and a non- vaccinate, we 
must keep well before our minds 
that X represents the remaining 
effects of a disease — vaccinosis — 
and this is not a constant quantity ; 
in an otherwise healthy person it 
must be continually growing less 
and less, and finally become 
extinct. Therefore, in order to 
determine whether vaccination 



Homoeoprophylaxis . 1 1 1 

protects against variola or not, 
we must first have the date of 
the vaccination in each case of 
varioloid or small-pox in the vac- 
cinate. Were a considerable num- 
ber of such cases tabulated we 
might arrive at some idea as to 
how long a given vaccination con- 
tinues to affect the individual suf- 
ficiently for the vaccinosis to leave 
no room for variola, provided 
always that the vaccinations were 
unipotential. 



is it possible for vaccination 
to be contingently effective, 
and yet for the mortality 
fromSmall-pox to be Greater? 

This question crops up and 
presents itself to one's mind thus : 



112 Homceoprophylaxis. 

Vaccination protects from variola 
say the vaccinators. 

Quoth the anti-vaccinators — 
That is impossible, because some 
of those who have been vaccinated 
do get variola, and the mortality 
from variola has actually increased, 
so where is the prevention ? 

How can these things be ? 

Let us ponder these points. 
And first of all let us not confound 
morbility with mortality. We 
really want three words to express 
our meaning well. Firstly, mor- 
tality, or the number of deaths; 
secondly, morbidity , or the quantity 
of ill-health of the living ; and 
thirdly, morbility ^ or the number of 
those who actually take a given 
disease. I ask forgiveness for this 
word-coining ; no one need use 



Homceoprophylaxis . 113 

the words if they are needless or 
objectionable, but it seems to me 
that these three ideas must be 
accurately expressed if we are to 
adequately discuss the question. 

In judging of the ill-effects of 
vaccination, only the mortality is 
considered as a general rule by the 
pro-vaccinists. By giving atten- 
tion to vaccinational morbidity (the 
vaccinosis of this little treatise), I 
have been enabled to do some 
notably good clinical work, and 
I put the facts observed before 
the world as a duty, and really 
unwillingly, as I am sure to be 
much misunderstood, but that 
cannot be helped, and besides I 
am now wandering away from 
my text. 

Before we can scientifically 



114 Honiceoprophylaxis. 

reckon with vaccination we must 
take accurate account of the mor- 
bihty as well as of the mortality 
and morbidity. The practical 
physician alone has the necessary 
scope for making observations in 
respect of the morbidity arising 
from vaccination, i.e., vaccinosis. 
Unfortunately it is completely 
ignored as a general rule. 

Any statistician can observe 
and arrange the facts relating to 
its morbility, and the Registrar 
General might be got to deal with 
them as he does with those relating 
to mortality. But, I must submit 
that mortality statistics alone with- 
out morbility statistics cannot pos- 
sibly lead to any real settlement of 
the vaccination question, for we 
want to know not only how many 



Homoeoprophylaxis . 115 

die of small-pox, but also how 
many get it and get over it. 

Herein, it seems to me, lies the 
kernel of the nut. 

And not only do we want to 
know how many get small-pox and 
recover, and how many get it and 
die of it, but also what is the mor- 
bidity of those protected by the 
vaccination. 

What is the ordinary liability 
of the perfectly healthy to catch 
small-pox, i,e.^ what is their pros- 
pective morbility, morbidity, and 
mortality ? 

Assuming that vaccination does 
protect, relatively and contingently, 
what do we pay for the protection, 
not in money, but in vaccinial 
morbidity, or vaccinosis ? 

It seems to me probable that 



1 1 6 Homceoprophylaxis. 

ordinary Jennerian vaccination is 
not efficiently protective in those 
whose proneness to catch small pox 
is very great, while it is efficiently 
protective where the proneness to 
catch small-pox is less. 

If we reflect upon this for a 
while we shall see that there is 
nothing unreasonable in this prop- 
osition. 

The un-vaccinated are not 
equally prone to catch small-pox ; 
we vaccinate them all alike. 

Now is it even conceivable that 
the vaccination has rendered them 
equally immune, when some of 
the ww-vaccinated were already 
immune ? 

My line of argument here 
stands thus : — Vaccination is pre- 



Homoeoprophylaxis . 117 

ventive of small-pox when the 
proneness to catch it is small; 
and when the proneness to catch 
it is small, those who do get small 
pox do not die of it, therefore vac- 
cination affects the morbility rather 
that the mortality of small-pox. I 
refer to ordinary Jennerian vacci- 
nation, and not to microposic 
homoeoprophylaxis. 

If I am right then we can 
affirm on aprioristic grounds that 
ordinary macroposic vaccination 
will diminish morbility but increase 
the mortality, i.^., fewer will get it, 
but more will die : the mortality 
will be greater. 

How so ? 

Vaccination is a homoeopro- 
phylactic diseasing measure : one 
disease is given to prevent a like 



ttS 



//cffUEOpropkylaxis. 



one. — ^vaccinia to prevent N'ari- 
o!a- If the diseasing process of 
vaccination fed! to protect, then 
the vaccinated person will be more 
likelv to die because there is the 
homoeoprophylactic aggravation : 
the two diseases combine to kill 
the patient just the same as too 
much of the homoeopathic remedy 
will aggrsLV^te the disease to which 
it is highly homoeopathic ; with, 
perhaps, the like result. 

This is manifest, for in vac- 
cinating a person we are diseasing 
him ; we communicate vaccinosis 
to him : if he, in addition to the 
vaccinosis, now get small-pox, he 
is the more likely to die the worse 
he has the vaccinosis. 

If y represent the prospective 
mortality of the un vaccinated, and 



Homceopwphylaxis . 1 1 g 

X the difference between the vac- 
cinated and the unvaccinated, i,e,^ 
vaccinosis, then the chances of 
dying of the vaccinated person 
who gets small-pox are y -^ x. 

Against the hypothesis that 
vaccination may be protective in 
some cases (relatively and con- 
tingently), and add fuel to the 
flames in others, i.e.^ decrease the 
morbility and increase the mor- 
tality. Against this hypothesis it 
will be objected that the mortality 
is much greater in variola than it 
is in varioloid. This, I submit, 
proves nothing, because the un- 
vaccinated belong almost exclu- 
sively to the social residuum in 
whom all diseases are relatively 
very fatal. Vaccination has been 



s:'^ms ;. 's^ dI'Tt ::>r :nanv vears, 
ijiii btcce I'-T^iTSt evervbodv who 
IS 2-=:tt«:ot his been vaccinated. 
Xe^j 2Z rre anti-vaccinists have 
tle-nselTres reen vaccinated. Now 
iLli the menta! i^iU of the world 
sre rifdni: a^::ain5t A^accination, I 
ve:::r::re to foretell that in the 
rirzre the mortalitv in their un- 
v3.cchiarei offspring will be very 
srr.3ll : probably only those who in- 
herit the PURULENT DIATHESIS wiU 

die, and manv of these would be 
saved if homoeopathically handled, 
or homoeoprophylactically vacci- 
nated in refiracted dose. 

Dynamic or Microposic 
homceoprophylaxis. 

When I began with this little 
essay I meant it to be on the one 



Homceoprophylaxis . 121 

hand a contribution to the clinical 
history of Thuja Occidentalism and 
on the other a plea for the recog- 
nition of the clinical importance 
of vaccinosis, particularly in 
chronic neurotic headaches. But 
as I went on I felt impelled to say 
a few word's on the subject of what 
I have called homceoprophylaxis, 
and now I cannot bring myself 
to conclude without dipping a little 
into the dynamics of preventive 
medicine according to the law of 
likes. 

Strewn about in literature there 
are examples of small-dose homceo- 
prophylaxis ; see Hahnemann's 
little essay on Belladonna, for 
example, at the very birth of 
Hahnemannian homoeopathy. 

Then vaccine ** lymph" — pus — 



122 Homoeoprophylaxis . 

has been dynamized more ho- 
mceopathico and given as a pro- 
phylactic against small -pox in 
epidemic times, and apparently 
with effect. Thuja Occidentalis 
has been used in like manner by 
more than one homoeopathic prac- 
titioner, and they claim that it is 
effective. The eminent Dr. David 
Wilson, of London, has, I hear, 
long used Thuja^ in dynamic dose, 
as a sure preventive of variola. 

Speaking for myself, I have for 
the last nine years been in the 
habit of using vaccine matter, in 
the thirtieth homoeopathic centes- 
imal potency, whenever small-pox 
was about, and I have thus far not 
seen anyone so treated get variola. 

Dr. Massoto inoculated the 
diphtheritic exudation in an epi- 



Homceoprophylaxis. 123 

demic of diphtheria, and that with 
success. 

It seems to me that the re- 
quirement of the age is to systema- 
tize the prevention of disease ac- 
cording to the law of similars, and 
IN DYNAMIC DOSE. Clearly the 
dynamic dose is essential, or at 
any rate the very small dose, for 
otherwise the homoeoprophylactic 
aggravation would be a serious 
detriment in every way. It is 
easy to see that M. Pasteur and 
his fellow workers are sailing down 
straight on this rock, whereon they 
are sure to suffer shipwreck. 

M. Pasteur's latest communica- 
tions to the Academic des Sciences 
are in substance as follows : — 

** If the virus of rabies be transmitted 
from the dog to the monkey, and then 



rrirmsryr^r^ln^Gxzs, 



i::iLL TLiniiiff*j ir mnmiffy, it 'woD be found 
"niin Eirtr farr "miisinissiari liie Tirnlence 
It rrt* TXT25 31B5 'r»j»r:niiie enfeeiiiied. If the 
xx"i:f ^x» fmsshiez be r^^transmitted to a 
a:K.. n: £X Lrirrr«t,'. :£ ihsi 55>ec3es, it irill 
ryr.^.r.TT sell grrfrr :iLr-sf, Bj a few trans- 
nuFsiniis- re ibe Tirss from monkey to 
rjnzi*T "ibir* r.£:ii ^aslhr be obtained a 
Tir:::? sr irr*!r::iEr*c e? siiall ucrer commu- 
riri.**, bj i:]rpD5e!r3Qc iDocnlatxms, the 
fis*3L5i?^ r:> a ac^. Ii>DCiiIat3ons by tre- 
ZM^zzlz^Z X sarb xirus will likewise pro- 
duce r:^ resuh : b-i an animal will, not- 
w:ihs:iaz ii-g. be rendered thereby proof 
a^afcst the disease. The virulence of the 
\inis becomes, on the contrary, augmented 
in its passage from rabbit to rabbit. If a 
dog be inoculated with vims thus aug- 
mented in power, a far more intense form 
of the disease will be manifested than that 
apparent in ordinary' canine madness, and 
it will invariably prove fatal." 

By appl)dng these and other 
observations, M. Pasteur obtained 



Homceoprophylaxis . 125 

virus of different degrees of viru- 
lence, and succeeded, by inocula- 
tions of the milder qualities, in- 
preserving animals from the effects 
of more active and mortal kinds. 
For example, after several days 
longer than the shortest incuba- 
tion term, M. Pasteur extracted 
virus from the head of a rabbit 
which had died of the disease, 
and inoculated successively two 
other rabbits. Each time a dog 
was inoculated with the virus, 
which, as has been seen, would 
increase each time in virulence. 
The result was that the dog was 
ultimately rendered capable of 
bearing a virus of mortal strength, 
and became absolutely proof 
against canine virus. M. Pasteur 
anticipates that the time is still 



1 26 HoffKBOprophylaxis. 

distant when canine madness will 
be extinguished by vaccination, 
but pending that consummation, 
he feels pretty certain that he will 
be able to avert the consequences 
of a bite from a mad dog. He 
savs : — ** Thanks to the duration 
of incubation after a bite, I have 
ever}' reason to believe that pa- 
tients can be rendered insuscep- 
tible before the mortal malady has 
had time to declare itself." M. 
Pasteur stated, in conclusion, that 
he had solicited the Minister of 
Education to appoint a Commis- 
sion to test his experiments. He 
added : — 

" The principal experiment that I shall 
attempt will consist in taking from my 
kennels twenty dogs insusceptible to the 
disease, and placing the same in com- 



Homceoprophylaxis. .127 

parison with twenty ordinary dogs I 
shall then have all these forty dogs bitten 
by a number of dogs in a rabid state. If 
the facts that I have enunciated are exact, 
the twenty dogs that I believe to be proof 
against the disease will remain healthy, 
while the other twenty will become 
affected. For a second experiment no 
less decisive, I propose to place before the 
Commission twenty vaccinated and twenty 
un-vaccinated dogs. All the forty I shall 
then inoculate in the most sensitive parts 
with virus taken from a rabid dog. The 
twenty vaccinated dogs will resist, and 
the other twenty will all die of madness, 
either paralytic or furious." 

This is as far as M. Pasteur 
has got at present, and his labours 
clearly tend in the direction of 
homceoprophylaxis and homoe- 
opathy; but time and dose are not 
duly reckoned with. The fatal 
fallacy underlying the whole thing 



128 Homceoprophylaxis. 

is regarding the immunity pro- 
duced by Jennerian or Pasteurian 
vaccination as a constant factor, 
whereas it is a constantly dimin- 
ishing one, and must in the nature 
of things be so. 

As a last word I would put in a 
plea for homceoprophylactic vac- 
cination, or what might be termed 
homoeopathic vaccination. That 
is to say, the vaccine matter is to 
be prepared as a homoeopathic 
remedy, and to be given by the 
mouth, in dynamic dose as the 
homoeoprophy lactic. Pasteur's at- 
tenuating it by poisoning a series 
of animals is ridiculous ; an ordi- 
nary vial will do just as well. It 
is with virus thus attenuated that I 
used to treat myself when I was at- 



Hoinceoprophylaxis. 129 

tending small-pox instead of being 
re -vaccinated. I used to treat 
my family and others with whom I 
was compelled to associate in the 
same way. None of us ever took 
small-pox. 

In magnis voluisse sat est.